Active NPI
Southwest Mississippi ENT, LLC
- Otolaryngology Physician
- McComb, MS
National Provider Identifier
1376109207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- SOUTHWEST MISSISSIPPI ENT, LLC
- Practice address
- 405 Marion Ave
McComb, MS 39648-2709 - Phone
- (601) 684-1250
- Fax
- (601) 684-0129
- NPI assigned
- May 16, 2019
- Last updated
- May 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William K. Austin, MD
- Title
- Member
- Phone
- (601) 684-1250
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | NU | Primary |
Addresses
Primary practice location
405 Marion Ave
McComb, MS 39648-2709
Mailing address
405 Marion Ave
McComb, MS 39648-2709
Phone (601) 684-1250
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- McComb, MS
- NPI 1457443897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557964800000",
"number": "1376109207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MARION AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482709",
"telephone_number": "601-684-1250",
"fax_number": "601-684-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MARION AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482709",
"telephone_number": "601-684-1250",
"fax_number": "601-684-0129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST MISSISSIPPI ENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "601-684-1250",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
- Southern Alternative & Integrative Medicine
- Southwest Center for Facial and Oral Surgery
- Southwest Clinic for Women PLLC
- Southwest Discoun T Drugs
- Southwest Mississippi Ear, Nose & Throat Clinic, P.a.
- Southwest Mississippi Eye Center
- Southwest Mississippi Hearing Center
- Southwest Mississippi Mental Health Mental Retardation Commission (SW Ms Mental Health Region XI)
- Southwest Mississippi Regional Medical Center (Mississippi Orthopedic Center)
- Southwest Mississippi Regional Medical Center (Intensive Care Hospitalists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.